empowerment in the dianova therapeutic … · empowerment in the dianova therapeutic communities...
TRANSCRIPT
EMPOWERMENTINTHE
DIANOVATHERAPEUTICCOMMUNITIES
Relatori:EducatriceDo0.ssaIndiraPastoris,PsicologaDo0.ssaMichelaB.Pozzoli
• Customized residen.al programs, personalized
andflexibles,basedonobjec.ves• Five therapeu.c communi.es accredited in
accordancewithcurrentregionalregula.ons• Admission criteria: legal age, either sex users in
treatmentwithalterna.vemeasurestodeten.onandfrompublicserviceandpeniten.arycircuit
• BioPsychoSocialapproach• Mul.disciplinaryteam
DianovaMissionDevelopmentofac.onsandprogramsthatac.velycontributetopersonalautonomyandsocialprogress
INTRODUCTION
THEHISTORY
1974BorninFranceLe
Patriarce
1984ItalyandLePatriarche
1990DRG309/90
1998Dismissaloffounderand
bornofDianova
2005UnificaQonLePatriarcheand
Dianova
2007ECOSOC
2012UNESCO
2013Minorsandteenagers
2014Thirty
«Drugfree»:integralpartofaglobalproject
Networkworking:increaseindividualskillsandresources,ensureagreater
supplyofresponsestotheneeds
Mul.disciplinaryteam
Thepersonistreatedand
observedinthetotalityofhis
needs
PERSON
FROMTHEHOLISTICVIEWOFTHEBIOPSHYCOSOCIALAPPROACHTOTHEEMPOWERMENTASTHEPURPOSE
OFTHEINTERVENTION
THEBIOPSICHOSOCIALAPPROACH
«Healthisastateofcompletephysical,mentaland social well-being and not merely theabsenceofdiseaseorinfirmity»(OMS,1946)
Itispossiblethroughtheanalysisoftheinterac.onofbiological,psychological
andsocialaspects
THEBIOPSICHOSOCIALAPPROACH
BIOLOGICALANALYSISOFMEDICALCONDITION PSYCHOLOGICAL
DIAGNOSIS,PSYCHOLOGICAL
SUPPORT,PSYCHOTHERAPY
SOCIALSOCIALIZATION,TRAINING,SCHOOLING,LEGALFIELDS
SURVEYAREAS
Areaofself-care
Regulatoryarea
Areaof��socialskills
Areaof��rela.ons
Areaof��responsibility
Cogni.ve-mo.va.onalarea
Emo.onalarea
IndividualEduca.onProject(PEI)constantlymonitored
Ac.veinvolvementof
theuser(responsibility)
THEBIOPSICHOSOCIALAPPROACH
EMPOWERMENT
TOEMPOWER=INCREASEINPOWERConstruc.veandgenera.vepower:«powerof»
From«learnedhelplessness»to«learnedhopefulness»(Rappaport,1987)
Ac.va.onofindividualresources
Influencingtheirownlifedecisions
Growthinthecapacityofuse
theownposi.vequali.es
BIOLOGICALASSUMPTIONOFRESPONSIBILITYFORTHECAREOF
THESELFPSYCHOLOGICALSELF-KNOWLEDGE
FORINCREASINGTHERESPONSIBILITYFORTHEIROWNACTIONS
ANDEVERYDAYDINAMICS
SOCIALINTEGRATIONINTHESOCIETYBYACQUIRINGNEW
SKILLS
EMPOWERMENT
THINKABOUTCHANGE
ACTIONFORCHANGE
EXPERIENCE
ACTIONSTOBETAKEN
WORKINGACTIVITY
Toimprovethegrowthandempowermentprocess,the
careofoneself,ofothersandoflivingspaces,therela.onshipwiththeother,respectforrules
andcommoncoexistence
LAUNDRY
COOKING
CAREOFGREEN
CAREOFCOMMONAREA
ACTIONSTOBETAKEN
CERTIFIEDTRAINING• SCHOOLING• BAKING• HORTICULTURE
TRAINING• CYCLOFFICINA• RESTORATION• GLASS
LABORATORIES/PROJECTS• MOUNTAINTHERAPY• EXPERENTIALWORKSHOPS
LABORATORIESPROJECTS
technicallearning;cultural
growth;developmentofsocialskills,
communica.onandexpression;developmentof
crea.vity;socializa.onandself-esteem
ACTIONSTOBETAKEN
ACTIVITYSPORTSANDLEISURE
to increasebody awarenessand limits; afen.on to thecare and psycho-physicalwell-being; a befer moodand also the chance tobecome passionate about asport,whichis alsousefulinthemanagementofleisure.
RUNNING
FITNESS
NORDICWALKING
CLIMBING
ACTIONSTOBETAKEN
ARESEARCHONTHEEVALUATIONOFCHANGE
OBJEC
TIVE
S Verifythechangesobtainedbythepersononthemo.va.onforchange
Monitorthequalityofour
service
Definingmodifytotheinterven.on
THEINSTRUMENT
MACTestthatevaluatesthemo.va.onforchange
BASED ON THE TRANSTHEORIC MODEL OF PROCHANSKA E
DICLEMENTE
ARESEARCHONTHEEVALUATIONOFCHANGE
STAG
ES PRECONTEMPLATION
CONTEMPLATION
DETERMINATION
ACTION
PSYC
HOLO
GICA
LFA
CTORS
SELFEFFICACY
AVAILABILITYTOCHANGE
INNERFRACTURE
ARESEARCHONTHEEVALUATIONOFCHANGE
ADMINISTRATION
Time1(T1)Secondadministra.on(Threemonthslater)
Time0(T0)first
administra.on(Entry)
ARESEARCHONTHEEVALUATIONOFCHANGE
THESAMPLEINSPECTED SAMPLE because subjects are rectruited in a
determined period of time
3FEMALES
27MALES
TOTALSAMPLE45SUBJECTS
VALIDSAMPLE30SUBJECTS
AVERAGEAGE40,2YEARSMIN24YEARSMAX57YEARS
ARESEARCHONTHEEVALUATIONOFCHANGE
0 0
19
11
1 1
11
19
PRECONTEMPLATION CONTEMPLATION DETERMINATION ACTION
FREQUENCESOFSTAGESATTIME0ANDTIME1
TIME0 TEMPO1
THENUMBEROFSUBJECTSPRESENTINTHEACTIONAREAINCREASES
ATTIME1
DATEANALISYS
RESULTTHESUBJECTSHAVEGAINEDTHE
CONVICTIONTOTAKECONCRETEACTIONTOWARDS
THESOLUTIONFOUND
DATEANALISYS
60,73
16,93 18,4
61,23
18,9 16,97
AVAILABILITYTOCHANGE SELFEFFICACY INNERFRACTURE
AVERAGESOFPSYCHOLOGICALVARIABLESATTIME0AND1
TIME0 TIME1
THEAVERAGEINCREASEFORAVAILABILITYTOCHANGEAND
SELFEFFICACYWHILEITDECREASESFOR
INNERFRACTURE
DATEANALISYS
COMPARISONAVERAGESAVAILABILITYTOCHANGE
(R)
NOSIGNIFICATIVEDIFFERENCE
t(29)=-0,267p=0,79
Availability to change remains stable.
Constant level of availability to change.
DATEANALISYS
COMPARISONAVERAGESSELFEFFICACY
(S)
SIGNIFICATIVEDIFFERENCE
t(29)=-2,197p=0,036
Self efficacy increases. Greater confidence in their skills.
DATEANALISYS
COMPARISONAVERAGESINNERFRACTURE
(F)
SIGNIFICATIVEDIFFERENCE
t(29)=2,069p=0,048
Inner fracture decreases, More internal consistency.
Less contradictions between ideal self-image and actual self-image.
DATEANALISYS
CONCLUSIONThereareverifiableandquanSfiablechanges
intermsofmoSvaSontochangethatarerepresentaSveof
thequalityofworkcarriedoutbytheDianovateam.
OBJEC
TIVE
S Verifythechangesobtainedbythepersononthemo.va.onof
change
Monitorthequalityofour
service
Definingmodifytotheinterven.on
CONCLUSION
Directlyfromthedic.onaryAUTONOMY:istheability
andtherighttogovernitselfandstandonitsown
ABOUTAUTONOMY
THEINDIVIDUALISATTHECENTEROFTHEINTERVENTION
MAXIMUMDEGREEFORTHEPOSSIBLE
AUTONOMY
FromFEELINGACTED(externallocusofcontrol)
ToINTENTIONALACTION,AWARENESS,RESPONSIBILITY
(internallocusofcontrol)
CHANGE
COMMUNITY:PLACEWHEREPEOPLECANGAINEXPERIENCEAND
WHERECANDESIREANDHOPEFORABETTERANDPOSSIBILEFUTURE
Perceivingthecontrolof
themselvesandtheirbehavior,
par.cipa.on,responsibility,feeling'partof'
CONCLUSION
«I hear and I forget, I see and I remember,
I do and I understand»
(Confucius)